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Individual

DR. LUKAS EUGENE GRIESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
207 S 16TH ST STE A, AURORA, NE 68818-3034
(402) 469-3710
(402) 694-0181
Mailing address
207 S 16TH ST STE A, AURORA, NE 68818-3034
(402) 469-3710
(402) 694-0181

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1650
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10025934300
MEDICAID
NE
01
NA1834
MEDICARE PTAN
NE
Enumeration date
01/20/2011
Last updated
06/27/2012
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